Most Relevant Information
Provider Data
NPI Number: | 1003234709 |
Provider Name: | AMY BODROG MD |
Entity Type: | Individual |
Taxonomy Code: | 207RH0000X |
Specialty: | Internal Medicine |
License Number: | 290075 |
Most Important Dates
Enumeration Date: | 03/31/2014 |
Last Updated: | 04/15/2021 |
Provider Practice Location
1425 PORTLAND AVE
ROCHESTER
NY
146213011
Practice Location Phone/Fax
Phone: | 5859224020 |
Fax: | 5859224622 |
Provider Mailing Location
1425 PORTLAND AVE
ROCHESTER
NY
146213011
Provider Mailing Phone/Fax
Phone: | 5859224020 |
Fax: | 5859224622 |